CCN: 140186 NPI: 1538208210 Organization

RIVERSIDE MEDICAL CENTER

350 N WALL ST
KANKAKEE, IL 609012901

Contact Information

Phone 8159357256
Fax 8159357490
Enumeration Date 2007-02-06
Last Updated 2009-12-18

Taxonomies

Code: 273Y00000X License State: IL License: 0002014
Code: 273R00000X License State: IL License: 0002014
Code: 282N00000X (Primary) License State: IL License: 0002014

Inpatient Payment Attributes (IPSF) View Dictionary →

Effective Date:

censusDivision 4

cbsaActualGeographicLocation 28100

providerType 07

caseMixIndex 1.0022

operatingCostToChargeRatio 0.21

medicaidRatio 0.357

uncompensatedCareAmount 678.01

internsToBedsRatio 0.0713

vbpAdjustment 0.9984468257

hhrAdjustment 0.9995

censusDivision 4

cbsaActualGeographicLocation 28100

providerType 07

caseMixIndex 1.0022

operatingCostToChargeRatio 0.21

medicaidRatio 0.357

uncompensatedCareAmount 678.01

internsToBedsRatio 0.0713

vbpAdjustment 0.9984468257

hhrAdjustment 0.9995

censusDivision 4

cbsaActualGeographicLocation 28100

providerType 07

caseMixIndex 1.0022

operatingCostToChargeRatio 0.21

medicaidRatio 0.357

uncompensatedCareAmount 521.57

internsToBedsRatio 0.0713

vbpAdjustment 1.0025980462

hhrAdjustment 0.999

censusDivision 4

cbsaActualGeographicLocation 28100

providerType 07

caseMixIndex 1.0022

operatingCostToChargeRatio 0.214

medicaidRatio 0.3559

uncompensatedCareAmount 521.57

internsToBedsRatio 0.0645

vbpAdjustment 1.0025980462

hhrAdjustment 0.999

censusDivision 4

cbsaActualGeographicLocation 28100

providerType 07

caseMixIndex 1.0022

operatingCostToChargeRatio 0.214

medicaidRatio 0.3559

uncompensatedCareAmount 521.57

internsToBedsRatio 0.0645

vbpAdjustment 1.0025980462

hhrAdjustment 0.999

censusDivision 4

cbsaActualGeographicLocation 28100

providerType 00

caseMixIndex 1.0022

operatingCostToChargeRatio 0.214

medicaidRatio 0.3559

uncompensatedCareAmount 521.57

internsToBedsRatio 0.0645

vbpAdjustment 1.0025980462

hhrAdjustment 0.999

censusDivision 4

cbsaActualGeographicLocation 28100

providerType 00

caseMixIndex 1.0022

operatingCostToChargeRatio 0.214

medicaidRatio 0.3559

uncompensatedCareAmount 437.89

internsToBedsRatio 0.0645

vbpAdjustment 1.0008791948

hhrAdjustment 0.9937

censusDivision 4

cbsaActualGeographicLocation 28100

providerType 00

caseMixIndex 1.0022

operatingCostToChargeRatio 0.236

medicaidRatio 0.3665

uncompensatedCareAmount 437.89

internsToBedsRatio 0.0777

vbpAdjustment 1.0008791948

hhrAdjustment 0.9937

censusDivision 4

cbsaActualGeographicLocation 28100

providerType 00

caseMixIndex 1.0022

operatingCostToChargeRatio 0.236

medicaidRatio 0.3665

uncompensatedCareAmount 437.89

internsToBedsRatio 0.0777

vbpAdjustment 1.0008791948

hhrAdjustment 0.9937

censusDivision 4

cbsaActualGeographicLocation 28100

providerType 00

caseMixIndex 1.0022

operatingCostToChargeRatio 0.236

medicaidRatio 0.3665

uncompensatedCareAmount 437.89

internsToBedsRatio 0.0777

vbpAdjustment 1.0008791948

hhrAdjustment 0.9937

censusDivision 4

cbsaActualGeographicLocation 28100

providerType 00

caseMixIndex 1.0022

operatingCostToChargeRatio 0.236

medicaidRatio 0.3665

uncompensatedCareAmount 361.34

internsToBedsRatio 0.0777

hhrAdjustment 0.9988

censusDivision 4

cbsaActualGeographicLocation 28100

providerType 00

caseMixIndex 1.0022

operatingCostToChargeRatio 0.214

medicaidRatio 0.3189

uncompensatedCareAmount 361.34

internsToBedsRatio 0.078

hhrAdjustment 0.9988

censusDivision 4

cbsaActualGeographicLocation 28100

providerType 00

caseMixIndex 1.0022

operatingCostToChargeRatio 0.214

medicaidRatio 0.3189

uncompensatedCareAmount 361.34

internsToBedsRatio 0.078

hhrAdjustment 0.9988

censusDivision 4

cbsaActualGeographicLocation 28100

providerType 00

caseMixIndex 1.0022

operatingCostToChargeRatio 0.214

medicaidRatio 0.3189

uncompensatedCareAmount 361.34

internsToBedsRatio 0.078

hhrAdjustment 0.9988

censusDivision 4

cbsaActualGeographicLocation 28100

providerType 00

caseMixIndex 1.0022

operatingCostToChargeRatio 0.214

medicaidRatio 0.3189

uncompensatedCareAmount 361.34

internsToBedsRatio 0.078

hhrAdjustment 0.9988

censusDivision 4

cbsaActualGeographicLocation 28100

providerType 00

caseMixIndex 1.0022

operatingCostToChargeRatio 0.214

medicaidRatio 0.3189

uncompensatedCareAmount 306.93

internsToBedsRatio 0.078

hhrAdjustment 0.9797

censusDivision 4

cbsaActualGeographicLocation 28100

providerType 00

caseMixIndex 1.0022

operatingCostToChargeRatio 0.265

medicaidRatio 0.3091

uncompensatedCareAmount 306.93

internsToBedsRatio 0.0773

hhrAdjustment 0.9797

censusDivision 4

cbsaActualGeographicLocation 28100

providerType 00

caseMixIndex 1.0022

operatingCostToChargeRatio 0.265

medicaidRatio 0.3091

uncompensatedCareAmount 306.93

internsToBedsRatio 0.0773

hhrAdjustment 0.9797

censusDivision 4

cbsaActualGeographicLocation 28100

providerType 00

caseMixIndex 1.0022

operatingCostToChargeRatio 0.265

medicaidRatio 0.3091

uncompensatedCareAmount 306.93

internsToBedsRatio 0.0773

hhrAdjustment 0.9797

censusDivision 4

cbsaActualGeographicLocation 28100

providerType 00

caseMixIndex 1.0022

operatingCostToChargeRatio 0.265

medicaidRatio 0.3091

uncompensatedCareAmount 306.93

internsToBedsRatio 0.0773

hhrAdjustment 0.9797

censusDivision 4

cbsaActualGeographicLocation 28100

providerType 00

caseMixIndex 1.0022

operatingCostToChargeRatio 0.223

medicaidRatio 0.2873

uncompensatedCareAmount 306.93

internsToBedsRatio 0.0784

hhrAdjustment 0.9797

censusDivision 4

cbsaActualGeographicLocation 28100

providerType 00

caseMixIndex 1.0022

operatingCostToChargeRatio 0.223

medicaidRatio 0.2873

uncompensatedCareAmount 344.71

internsToBedsRatio 0.0784

vbpAdjustment 0.9994065366

hhrAdjustment 0.9792

censusDivision 4

cbsaActualGeographicLocation 28100

providerType 00

caseMixIndex 1.0022

operatingCostToChargeRatio 0.223

medicaidRatio 0.2873

uncompensatedCareAmount 344.71

internsToBedsRatio 0.0784

vbpAdjustment 0.9994065366

hhrAdjustment 0.9792

censusDivision 4

cbsaActualGeographicLocation 28100

providerType 00

caseMixIndex 1.0022

operatingCostToChargeRatio 0.229

medicaidRatio 0.2943

uncompensatedCareAmount 385.8

internsToBedsRatio 0.0677

vbpAdjustment 1.00064277

hhrAdjustment 0.9858

censusDivision 4

cbsaActualGeographicLocation 28100

providerType 00

caseMixIndex 1.0022

operatingCostToChargeRatio 0.229

medicaidRatio 0.2943

uncompensatedCareAmount 385.8

internsToBedsRatio 0.0677

vbpAdjustment 1.00064277

hhrAdjustment 0.9858

censusDivision 4

cbsaActualGeographicLocation 28100

providerType 00

caseMixIndex 1.0022

operatingCostToChargeRatio 0.229

medicaidRatio 0.2943

uncompensatedCareAmount 385.8

internsToBedsRatio 0.0677

vbpAdjustment 1.00064277

hhrAdjustment 0.9858

censusDivision 4

cbsaActualGeographicLocation 28100

providerType 00

caseMixIndex 1.0022

operatingCostToChargeRatio 0.229

medicaidRatio 0.2943

uncompensatedCareAmount 550.56

internsToBedsRatio 0.0677

vbpAdjustment 1.004934895

hhrAdjustment 0.9985

censusDivision 4

cbsaActualGeographicLocation 28100

providerType 00

caseMixIndex 1.0022

operatingCostToChargeRatio 0.229

medicaidRatio 0.2943

uncompensatedCareAmount 550.56

internsToBedsRatio 0.0677

vbpAdjustment 1.004934895

hhrAdjustment 0.9985

censusDivision 4

cbsaActualGeographicLocation 28100

providerType 00

caseMixIndex 1.0022

operatingCostToChargeRatio 0.25

medicaidRatio 0.3124

uncompensatedCareAmount 550.56

internsToBedsRatio 0.0676

vbpAdjustment 1.004934895

hhrAdjustment 0.9985

censusDivision 4

cbsaActualGeographicLocation 28100

providerType 00

caseMixIndex 1.0022

operatingCostToChargeRatio 0.25

medicaidRatio 0.3124

uncompensatedCareAmount 550.56

internsToBedsRatio 0.0647

vbpAdjustment 1.004934895

hhrAdjustment 0.9985

censusDivision 4

cbsaActualGeographicLocation 28100

providerType 00

caseMixIndex 1.0022

operatingCostToChargeRatio 0.25

medicaidRatio 0.3124

uncompensatedCareAmount 550.56

internsToBedsRatio 0.059

vbpAdjustment 1.004934895

hhrAdjustment 0.9985

censusDivision 4

cbsaActualGeographicLocation 28100

providerType 00

caseMixIndex 1.0022

operatingCostToChargeRatio 0.25

medicaidRatio 0.3124

uncompensatedCareAmount 553.61

internsToBedsRatio 0.059

vbpAdjustment 1.0054466727

hhrAdjustment 0.9981

censusDivision 4

cbsaActualGeographicLocation 28100

providerType 00

caseMixIndex 1.0022

operatingCostToChargeRatio 0.279

medicaidRatio 0.3296

uncompensatedCareAmount 553.61

internsToBedsRatio 0.059

vbpAdjustment 1.0054466727

hhrAdjustment 0.9981

Outpatient Payment Attributes (OPSF) View Dictionary →

Effective Date:

cbsaActualGeographicLocation 28100

providerType 07

operatingCostToChargeRatio 0.149

deviceCostToChargeRatio 0.179

specialPaymentIndicator Y

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 28100

providerType 07

operatingCostToChargeRatio 0.149

deviceCostToChargeRatio 0.179

specialPaymentIndicator Y

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 28100

providerType 07

operatingCostToChargeRatio 0.153

deviceCostToChargeRatio 0.215

specialPaymentIndicator Y

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 28100

providerType 00

operatingCostToChargeRatio 0.153

deviceCostToChargeRatio 0.215

specialPaymentIndicator Y

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 28100

providerType 00

operatingCostToChargeRatio 0.153

deviceCostToChargeRatio 0.215

specialPaymentIndicator Y

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 28100

providerType 00

operatingCostToChargeRatio 0.16

deviceCostToChargeRatio 0.223

specialPaymentIndicator Y

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 28100

providerType 00

operatingCostToChargeRatio 0.16

deviceCostToChargeRatio 0.223

specialPaymentIndicator Y

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 28100

providerType 00

operatingCostToChargeRatio 0.158

deviceCostToChargeRatio 0.211

specialPaymentIndicator Y

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 28100

providerType 00

operatingCostToChargeRatio 0.158

deviceCostToChargeRatio 0.211

specialPaymentIndicator Y

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 28100

providerType 00

operatingCostToChargeRatio 0.134

deviceCostToChargeRatio 0.45

specialPaymentIndicator Y

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 28100

providerType 00

operatingCostToChargeRatio 0.134

deviceCostToChargeRatio 0.45

specialPaymentIndicator Y

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 28100

providerType 00

operatingCostToChargeRatio 0.125

deviceCostToChargeRatio 0.442

specialPaymentIndicator Y

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 28100

providerType 00

operatingCostToChargeRatio 0.125

deviceCostToChargeRatio 0.442

specialPaymentIndicator Y

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 28100

providerType 00

operatingCostToChargeRatio 0.128

deviceCostToChargeRatio 0.46

specialPaymentIndicator Y

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 28100

providerType 00

operatingCostToChargeRatio 0.128

deviceCostToChargeRatio 0.46

specialPaymentIndicator Y

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 28100

providerType 00

operatingCostToChargeRatio 0.139

deviceCostToChargeRatio 0.467

specialPaymentIndicator Y

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 28100

providerType 00

operatingCostToChargeRatio 0.139

deviceCostToChargeRatio 0.467

specialPaymentIndicator Y

carrierCode 06102

localityCode 99

cbsaActualGeographicLocation 28100

providerType 00

operatingCostToChargeRatio 0.159

deviceCostToChargeRatio 0.433

specialPaymentIndicator Y

carrierCode 06102

localityCode 99

RIVERSIDE MEDICAL CENTER

Contact Information

Taxonomies

Inpatient Payment Attributes (IPSF) View Dictionary →

Outpatient Payment Attributes (OPSF) View Dictionary →

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